Payer New Normal: Age of Exchanges and ConsumerismSeptember 6, 20132013 Institute Innovations Center. The Affordable Care Act is bringing much change and opportunity to health plans, providers, and patients. Many of these changes are being structured, developed, and implemented with the help of IT. Health plans and providers will want to understand how these emerging technologies will impact their business.

Changing Landscapes: Driving Value with IT EffectivenessSeptember 4, 20132013 Institute Innovations Center. The Nolan Company’s Healthcare IT Practice is a core practice area of the firm; EffectIT is a primary focus of our Healthcare IT Practice because the elevated rate of change in the Healthcare industry has created an extraordinary challenge for healthcare payers.

Counting Savings Instead of Sheep: AIM Sleep SolutionAugust 19, 20132013 Institute Innovations Center. The AIM Sleep Solution provides the industry’s most comprehensive program for health plans and employers to drive appropriate testing, support therapy compliance and ensure care is more affordable, while delivering the highest quality of care to consumers.

Driving Successful Member EngagementAugust 19, 20132013 Institute Presentation Stage. This session provides details on how video technology can be used to effectively engage members. In addition, this session highlights best-practices on how to drive successful member engagement campaigns by understanding member preferences.

Payer IT Innovation and Operational ExcellenceJuly 18, 20132013 Institute Presentation Stage. This session provides insights into new IT strategies for payers. You will learn the role IT plays in consumerism and strategies on how to begin to transform your IT function to address healthcare convergence and consumerism.

Driving Business through Improved Human PerformanceJuly 18, 20132013 Institute Presentation Stage. This session provides you with an innovative end-to-end strategy for reducing time to proficiency and improving productivity for customer service, claims processing and telesales roles.

Reducing Follow up Calls on Claims with the Claim Status Inquiry (CSI) TransactionJune 7, 2013Emerging Solutions Podcast Series. As one of our core services, athenahealth manages the revenue cycle transactions (claim submission through remittance processing) for our clients (medical caregivers). We utilize the ANSI claim status inquiry (CSI) transaction to reduce phone calls we would otherwise place to insurers on our clients’ behalf. Over the past 5 years, we have developed strategies to utilize data within the transaction and observations regarding payer best practices when implementing the transaction. We want to share our insight to aid payers in determining how to invest in this transaction and reduce phone call inflow.

Preparing Your Business for Disaster RecoveryMay 23, 2013Emerging Solutions Podcast Series. Health plans have an obligation to be available when disaster strikes. With hundreds of members in the healthcare and insurance industry, Agility’s ReadySuite solution provides health plans with an affordable and reliable solution should the unthinkable happen. For health plans small and large, Agility can be the difference between giving into a crisis and surviving one. Having Agility on your side will ensure your organization is better prepared to respond to any disaster for the benefit of your employees, customers, and community.

Why the Member Experience Matters Now More Than EverMay 23, 2013Emerging Solutions Podcast Series. This podcast will help healthcare payers who are struggling to transition from a B2B to a B2C model, trying to find relevance in an environment of increased regulatory scrutiny and meeting the challenges of marketing to the currently uninsured. Insights from Cincom Document Solutions’ Program Director, Lori Gelter will help healthcare payers to avoid becoming irrelevant as a commoditized product and compete on value rather than price. And, it all starts with the member experience.

mHealth: Leading Mobility Trends and Opportunities in Healthcare March 28, 2013Emerging Solutions Podcast Series. The use of mobile technology in healthcare is fostering big changes across the healthcare industry. Accenture’s leading experts in mobile health Lisa Mitnick, Executive Director of Mobility Services and Frances Dare, Managing Director of Connected Health Practice take a look at what is driving increased mobility in healthcare and the latest best practices and cutting-edge mobility trends for engaging patients. In this podcast series they present ways that mobile health can deliver value added services to consumers and providers, allow consumers self-health management, enable connectivity and collaboration among clinicians, improve management of patients with chronic diseases, and enhance payer-provider business services.

Improve Prospective Claims AnalysisMarch 28, 2013Emerging Solutions Podcast Series. Incorrectly paid claims cost payers and providers billions of dollars each year in under and over payments. In addition, incorrect payments require a lot of rework to fix the problem, reduce waste and lower friction with members and providers. A better solution is to apply predictive modeling and data analytics to improve claim payment processes before the claim is settled. Listen to this podcast and gain insights how to apply solutions that enhance the claims payment processes and help to mitigate errors upfront, creating substantial savings for both health payers and providers.

2012 VIDEOS and PODCASTS

dLife Healthcare Solutions: The New Patient-Centric Approach to Population HealthDecember 7, 2012Emerging Solutions Podcast Series. dLife's Adam Kaufman and Ron Geraty discuss the healthcare industry shift toward an outcomes-based reimbursement model, resulting in health plans exploring innovative ways to empower their patients. Annual doctor visits can only go so far — Patients need to be engaged in self-care 24/7 in order to fully understand how their behavior affects their overall health; to effectively realize the benefits of therapies provided by their health system; and to responsibly take ownership of their health.

Technology Implications of Healthcare ReformNovember 29, 2012Emerging Solutions Podcast Series. The U.S. healthcare market is experiencing disruption not seen since the introduction of Medicare. Whether sponsored via government or private exchanges, a new retail-based model for health insurance administration is emerging as the business model to power growth. In this podcast, learn about technology solutions that help payers bend the trend and power growth in the retail health insurance market.

Health Plans and Effective Use of Consumer SurveysNovember 28, 2012Emerging Solutions Podcast Series. Consumers shopping for group insurance are as equally uninformed as the uninsured market; a statement supported by survey data. An inability to understand key insurance terms is the same between the 2 groups, affecting the overall perception of the insurance exchange. Based on the survey results companies can better implement the tools necessary to help with the consumer education process.

Health Reform Outlook Post 2012 ElectionNovember 8, 2012Emerging Solutions Podcast Series. The 2012 elections will dictate the future path of health reform and the health insurance industry. After the election, hear Avalere's predictions for how the President-elect will alter the implementation of health insurance exchanges, Medicaid expansion, and Medicare reforms. Learn how these post-election dynamics could impose new uncertainty and further market change on the health insurance industry.

Reducing "Cost of Care" Through TransportationOctober 18, 2012Emerging Solutions Podcast Series. Millions of Americans do not have access to needed healthcare services due to low income, their disabling conditions, inability to drive and geographic isolation. This population must depend on others to access healthcare, which reduces access to routine and other non-emergency medical services, and can lead to poor health outcomes. Health insurance plans that provide their members with access to transportation services can improve healthcare outcomes and reduce the overall cost of healthcare.